The CQC said when it was alerted to the case it followed up directly with the provider to understand the circumstances surrounding Liam’s death and whether further regulatory action might be required.
Karen Knapton from the CQC said: “Of the ten inspections of St Mary’s Hospital that have taken place since 2016, CQC has taken enforcement action at six, including issuing warning notices.
“CQC regulatory action helps to drive improvements and ensures people receive safe care.
“The service at its last inspection was rated as good.”
Elysium Healthcare said in the three years following Liam’s death “detailed action plans have been fully embedded to address the issues highlighted during the inquest”.
This is something Mr McGenity disputes.
“We’ve got patients and people telling us it’s not changed,” he said.
“That makes me really angry. There are vulnerable people who are not getting the improvements and the lessons learned to prevent a repeat.”
He said he was determined to help other patients, adding: “If we could do something to save one life that would be great if we can make change to help others more than that, that would be just fantastic.”
The Department of Health and Social Care said a “healthy” NHS required “strong regulation” and it was reforming the CQC to make sure it was “fit for purpose”.
It said the mental health system was “outdated” and was “letting down some of the most vulnerable people in our society”.
A spokeswoman added: “We are bringing the Mental Health Act in line with the 21st Century, so patients are treated with dignity and respect, and the public are kept safe.”
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